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Thankfully, even when the cause of infertility is not known, various fertility treatments can eventually lead to delivery of a healthy baby. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. 8 If a woman has irregular cycles, the testing should be conducted later in the cycle, starting seven days before presumed onset of menses, and repeated weekly until menses.

Therefore, data estimating the prevalence of infertility cited by various sources differs significantly.[8] A couple that tries unsuccessfully to have a child after a certain period of time (often a short period, but definitions vary) is sometimes said to be subfertile, meaning less fertile than a typical couple. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988.

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Clinical examinations start with ovarian causes of sterility. If both tubes are blocked, then in vitro fertilization (IVF) is required.

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Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. The etiology is unknown but is probably multifactorial. In this case, your doctor may recommend surgically extracting sperm from part of your reproductive tract to help you to conceive. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. You take gonadotropins that trigger the development of more than one egg.

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Primary vs. secondary infertility[edit] Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months, during which they have not used any contraceptives.[14] The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.[15] Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.[15] Thus the distinguishing feature is whether or not the couple have ever had a pregnancy which led to a live birth. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. The epididymis is a coil-like structure in the testicles which helps store and transport sperm. Prolonged anestrus may be congenital or acquired. The severity usually depends on how near to the testicles the radiation was aimed. In ZIFT, your doctor places the fertilized eggs -- at this stage called zygotes -- into your fallopian tubes within 24 hours. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). Segmental dysplasia is defined as a vas deferens with at least 2 distinct sites of vasal obstruction. Assisted hatching: The embryologist opens a small hole in the outer membrane of the embryo, known as the zona pellucid. Infrequent and light menstruation occurs in about 40% of women with ovulatory dysfunction. Such tissue growth and its surgical removal can cause scarring and prevent fertilization.  Uterine and cervical causes  Problems in the uterus or cervix may also affect fertility.